A 34-year-old male nonsmoker presented with a 4-month history of progressive hoarseness without dyspnea, dysphagia, or hemoptysis. On examination, his voice was strong but harsh. There was no evidence of cervical lymphadenopathy. Fiberoptic laryngoscopy revealed a large, mucosalized mass obstructing the anterior glottis and extending into the subglottis. The visible portions of the true vocal cords were unremarkable. True vocal fold mobility was intact; however, the mass prevented the cords from fully approximating on phonation.